A Case Report on Obstructive Sleep Apnea in a Pediatric Patient with Achondroplasia

Authors

  • Eljohn C. Yee, MD Department of Otolaryngology -- Head and Neck Surgery, College of Medicine and Philippine General Hospital, University of the Philippines Manila https://orcid.org/0000-0002-5396-2153
  • Agnes T. Remulla, MD Department of Otolaryngology -- Head and Neck Surgery, College of Medicine and Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.vi0.4969

Keywords:

achondroplasia, OSA, pediatric sleep apnea, tonsillectomy

Abstract

A 22-month-old male diagnosed with achondroplasia was referred for difficulty in sleeping and was diagnosed to have severe obstructive sleep apnea (OSA) on polysomnography (PSG) (AHI 50.1). This patient had macrocephaly, midface hypoplasia, flat nasal bridge, relative macroglossia and enlarged palatine and adenoid tonsils. The patient underwent bilateral tonsillectomy with adenoidectomy without complication. Six months post-op, repeat polysomnography revealed a still severe (AHI 15.7) OSA with preferential recovery of REM and N3 sleep. Further outpatient follow-up and management is warranted. OSA despite being common in this subset of patients remains overlooked and not prioritized because of the multitude of coexisting concerns. Management of OSA in children with achondroplasia shows improved sleep structure and is helpful for further growth and development.

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Published

2023-08-29

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Section

Articles

How to Cite

1.
A Case Report on Obstructive Sleep Apnea in a Pediatric Patient with Achondroplasia. Acta Med Philipp [Internet]. 2023 Aug. 29 [cited 2025 Apr. 4];57(8). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/4969

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